# DR.MICKEY TYRRELL, M.D. PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Hornet Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598962771
- **Authorized official:** DR. MICKEY RAY TYRRELL MD (OWNER)
- **Authorized official phone:** (918) 256-2261

## Contact information

- **Practice address:** 803 N FOREMAN ST, SUITE 102, VINITA, OK 74301-1412
- **Practice address phone:** (918) 256-2261
- **Practice address fax:** (918) 256-2304
- **Mailing address:** 803 N FOREMAN ST, SUITE 102, VINITA, OK 74301-1412
- **Mailing address phone:** (918) 256-2261
- **Mailing address fax:** (918) 256-2304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 22897 | OK | Yes |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 09/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200067580A | — | OK |